When Braces Premolar Extraction Cases Need Max Anchorage

Have you ever wondered about when your braces premolar extraction cases might need max anchorage? It’s not always easy to determine how much anchorage a braces treatment plan might need, but there are several things you can consider as part of this decision – and we’ve outlined some of the key things you need to know as follows.
When Do Braces Premolar Extraction Cases Need Max Anchorage?
It’s not always clear when premolar extraction cases need max anchorage at the outset, but there are a few things you can do to help work this out.
Notably, we should first stress that premolar extractions should only be done if they are absolutely necessary; this often won’t be the case in patients who are still growing. But if you have determined already that the patient is a good candidate for premolar extraction, you’ll then need to look at the anchorage you’ll need.
If the case isn’t particularly severe, you may not need max anchorage; in these scenarios, slip anchorage from both sides may be suitable. This is mainly true if you have a suitable 7mm space and you’re filling it from both directions; contrastingly, if you can only fill it in one direction with max anchorage, this will be a slower treatment plan.
Before approaching these cases, it’s important to first make sure you understand what BiMax Anchorage is to help. In these cases, we typically use internal anchorage (e.g. a lingual arch) on the bottom and either a Nance or Trans Palatal Arch on the top. When you remove the premolars, this in turn results in higher levels of anchorage to help fill a gap without the back teeth slipping forward.
Get Professional Support for Your Dental Case
If you have been having difficulties with your braces treatment plan, make sure you’ve considered today’s key points to help. However, if you have any further questions regarding your patients’ treatment plans, don’t hesitate to contact our experts here at Straight Smile Solutions to book a consultation with our team.